VESTAL HEALTHCARE, LLC (NPI# 1487969671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487969671 |
Entity Type | Organization |
Organization Name | VESTAL HEALTHCARE, LLC |
Other Organization Name | UHS DIALYSIS - PENNSYLVANIA AVE |
Practice Address |
65 Pennsylvania Ave Binghamton NY 13903-1651 |
Mailing Address |
7650 Se 27th St Suite 200 Mercer Island WA 98040-3060 |
Practice Telephone | 6077622242 |
Mailing Telephone | 2062365001 |
Enumeration Date | 2010-08-11 |
Last Update Date | 2011-09-07 |
Authorized Official Name | MR. RYAN B PARDO (VICE PRESIDENT) |
Authorized Official Telephone | 2062365001 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
UHS Dialysis - Pennsylvania Ave | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174188338 | Vestal Healthcare, LLC | Clinic/Center | 1485 Route 9d, Wappingers Falls, NY 12590-7167 | 2019-05-03 |
1043609415 | Vestal Healthcare, LLC | Clinic/Center | 1500 Middle Country Rd, Centereach, NY 11720-3500 | 2015-01-22 |
1063814333 | Vestal Healthcare, LLC | Clinic/Center | 373 Church St., Saratoga Springs, NY 12866-8626 | 2014-09-18 |
1952768640 | Vestal Healthcare, LLC | Clinic/Center | 1776 Eastchester Rd, 2nd Floor, Bronx, NY 10461-2341 | 2016-01-26 |
1477918597 | Vestal Healthcare, LLC | Clinic/Center | 65 Pennsylvania Ave, Binghamton, NY 13903-1651 | 2015-12-16 |
1073919387 | Vestal Healthcare, LLC | Clinic/Center | 185 S 10th St, Lindenhurst, NY 11757-4505 | 2014-11-13 |
1447656756 | Vestal Healthcare, LLC | Clinic/Center | 929 Sunrise Hwy, Bay Shore, NY 11706-5907 | 2014-11-13 |
1003239062 | Vestal Healthcare, LLC | Clinic/Center | 52 S Union Rd, Williamsville, NY 14221-6509 | 2014-01-28 |
1801101522 | Vestal Healthcare, LLC | Clinic/Center | 27 Park Ave, Binghamton, NY 13903-1605 | 2010-08-18 |
Street Address |
65 PENNSYLVANIA AVE |
City | BINGHAMTON |
State | NY |
Zip Code | 13903-1651 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154323194 | Shari L Nichols | Podiatrist | 65 Pennsylvania Ave, Suite 200, Binghamton, NY 13903-1651 | 2005-08-10 |
1447896212 | Vicky L Honour | Massage Therapist | 65 Pennsylvania Ave, Binghamton, NY 13903-1651 | 2019-11-26 |
1114409323 | Shannon Hilliker | Physician Assistant | 65 Pennsylvania Ave, Binghamton, NY 13903-1651 | 2018-09-04 |
1477918597 | Vestal Healthcare, LLC | Clinic/Center | 65 Pennsylvania Ave, Binghamton, NY 13903-1651 | 2015-12-16 |
1316334154 | Larry Schow | Student in an Organized Health Care Education/Training Program | 65 Pennsylvania Ave, Binghamton, NY 13903-1651 | 2015-04-20 |
1679970461 | Eric Joseph Crist | Physical Therapist | 65 Pennsylvania Ave, Binghamton, NY 13903-1651 | 2014-11-24 |
1295146066 | Jennifer M Cobb | Physical Therapist | 65 Pennsylvania Ave, Binghamton, NY 13903-1651 | 2014-05-15 |
1043630551 | Mark Schreck | Orthopaedic Surgery | 65 Pennsylvania Ave, Binghamton, NY 13903-1651 | 2014-04-23 |
1194009449 | Dori Lynn Mcgowan | Occupational Therapist | 65 Pennsylvania Ave, Binghamton, NY 13903-1651 | 2011-10-05 |
1720361454 | Benjamin Paul Dvorsky | Physical Therapist | 65 Pennsylvania Ave, Binghamton, NY 13903-1651 | 2011-09-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982241121 | Diane Irene Davie | Specialist | 37 1/2 Hayes St, Binghamton, NY 13903 | 2019-12-06 |
1801440375 | Jonathan James Pelc | Pharmacist | 50 Pennsylvania Avenue, Binghamton, NY 13903 | 2019-08-01 |
1265815211 | Miriam Mikaya | Nurse Practitioner | 10-42 Mitchel Avenue, Binghamton, NY 13903 | 2015-07-08 |
1538541925 | Marianne Valenzuela | Nurse Practitioner | 27 Park Avenue, 5th Floor, Binghamton, NY 13903 | 2015-06-23 |
1962884379 | Norman Dale Powell Sr. | Nurse's Aide | 43 Webster St., Apt. 2, Binghamton, NY 13903 | 2015-06-22 |
1659612562 | Helena Maureen Ladue | Counselor | 10 Mitchell Avenue, New Horizons, Binghamton, NY 13903 | 2013-03-04 |
1144597527 | Allan M. Fernandez | Family Medicine | 35 Felters Road, Building 8, Binghamton, NY 13903 | 2011-11-29 |
1386875482 | Earle John Reome | Pharmacist | 10-34 Mitchell Avenue, Binghamton, NY 13903 | 2009-08-06 |
1619113149 | Teresa Mae Grant | Massage Therapist | 20 Mitchell Avenue, Binghamton, NY 13903 | 2009-01-06 |
1932383791 | Diane Lucille Brenner | Licensed Practical Nurse | 60 Saratoga Ave, 5 20, Binghamton, NY 13903 | 2007-12-28 |
Find all providers in zip 13903 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477918597 | Vestal Healthcare, LLC | Clinic/Center | 65 Pennsylvania Ave, Binghamton, NY 13903-1651 | 2015-12-16 |
1588943658 | Bridgewater Cfd, LLC | Clinic/Center | 159 Front St, Binghamton, NY 13905-3103 | 2011-08-08 |
1801101522 | Vestal Healthcare, LLC | Clinic/Center | 27 Park Ave, Binghamton, NY 13903-1605 | 2010-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194323071 | True North Dialysis Center LLC | Clinic/Center | 668 Middle Country Rd, Selden, NY 11784-2521 | 2020-10-13 |
1952908386 | Ulster Dialysis, LLC | Clinic/Center | 900 Miron Ln, Kingston, NY 12401-1567 | 2020-10-08 |
1376152868 | True North Dialysis Center LLC | Clinic/Center | 3005 Long Beach Rd, Oceanside, NY 11572 | 2020-07-30 |
1043839269 | Knickerbocker Dialysis Inc | Clinic/Center | 5518 Avenue N, Brooklyn, NY 11234-4006 | 2020-04-09 |
1942839378 | Knickerbocker Dialysis Inc | Clinic/Center | 479 E Main St, Patchogue, NY 11772-3147 | 2020-04-07 |
1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
1205461639 | Knickerbocker Dialysis Inc | Clinic/Center | 1277 Middle Country Rd, Middle Island, NY 11953 | 2020-03-05 |
1326678111 | New York Dialysis Services, Inc | Clinic/Center | 794 St Anns Ave, Bronx, NY 10456 | 2020-01-21 |
1629617576 | Knickerbocker Dialysis Inc | Clinic/Center | 1633 Route 202 Ste 120, Pomona, NY 10970-2926 | 2019-12-24 |
1740824184 | Knickerbocker Dialysis Inc | Clinic/Center | 11 Romaine Ave, Yonkers, NY 10705 | 2019-10-29 |
Find all providers with the same taxonomy |
City | BINGHAMTON |
Zip Code | 13903 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.